Application for Training

ICR 200501-0920-004

OMB: 0920-0017

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
37713 Migrated
ICR Details
0920-0017 200501-0920-004
Historical Active 200304-0920-003
HHS/CDC
Application for Training
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/26/2005
Retrieve Notice of Action (NOA) 01/26/2005
  Inventory as of this Action Requested Previously Approved
06/30/2006 06/30/2006 06/30/2006
35,525 0 33,525
2,748 0 2,548
0 0 0

CDC through its Public Health Practice Program Office offers training activities on public health topics to professionals worldwide. Employees of hospitals, universities, medical centers, laboratories, state and federal agencies, and state and local health departments apply for traiing in an effort to learn up-to-date public health practices. CDC's training activities include laboratory training, classroom study, and distance learning activities. The "Application for Training" and "Registration for Training and Continuing Education" are the official application forms used for all training activities..

None
None


No

1
IC Title Form No. Form Name
Application for Training CDC-FORM-32.1, CDC-FORM-36.5

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 35,525 33,525 0 2,000 0 0
Annual Time Burden (Hours) 2,748 2,548 0 200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/26/2005


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